LEE S BRAAM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DMD

First Name

LEE

Middle

Last Name

BRAAM

Business Name

LEE S BRAAM DMD

Original Issue Date

03/28/2016

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024